{"id":3956,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/gastrointestinalpaediatric\/"},"modified":"2026-07-23T11:47:10","modified_gmt":"2026-07-23T10:47:10","slug":"paediatricgastrointestinal","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatricgastrointestinal\/","title":{"rendered":"Gastrointestinal"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The RHCYP Paediatric Gastroenterology, Hepatology and Nutrition (PGHAN) service provides specialist services for Lothian, Fife and the Borders as part of the South-East Scotland Regional PGHAN Network&nbsp;(SESPGHAN).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Further patient-accessible information is available on the <a href=\"https:\/\/children.nhslothian.scot\/\" target=\"_blank\" rel=\"noreferrer noopener\">RHCYP Children\u2019s Hospital website<\/a>. There is a <a href=\"https:\/\/children.nhslothian.scot\/departments-services\/?_sft_category=gastroenterology-gi\" target=\"_blank\" rel=\"noreferrer noopener\">GI department page with information<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients who are already known to the paediatric GI service and under ongoing clinical follow-up (for example, IBD, liver, complex nutrition and coeliac patients) will all have contact numbers or email contact with their appropriate team members and should be encouraged to contact them for specific advice, if not felt appropriate for advice in primary care. Our RHCYP pages are also a good source of information on who to contact.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">GI Consultants at RHCYP are:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dr Paul Henderson&nbsp;<\/li>\n\n\n\n<li>Dr Victoria Merrick<\/li>\n\n\n\n<li>Dr David Mitchell&nbsp;<\/li>\n\n\n\n<li>Dr Rosalind Rabone<\/li>\n\n\n\n<li>Professor Richard Russell<\/li>\n\n\n\n<li>Professor David Wilson<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The service provides:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Acute inpatient management and consultations<\/li>\n\n\n\n<li>Advice only (usually via SciStore or email) as an alternative to OPD visits<\/li>\n\n\n\n<li>Outpatient management\n<ul class=\"wp-block-list\">\n<li>GI rapid access new patient clinics (urgent referrals) \u2013 weekly on a Monday<\/li>\n\n\n\n<li>GI routine new patient clinics<\/li>\n\n\n\n<li>Sub-Specialist and General GI review clinics<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Endoscopy &#8211; diagnostic and therapeutic service\n<ul class=\"wp-block-list\">\n<li>Joint GI\/ Paediatric surgery lists<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>GI diagnostics (pH, pH impedance, high resolution manometry, capsule endoscopy) via RHCYP and RIE GI physiology services<\/li>\n\n\n\n<li>Sub-Specialist Gastroenterology clinics:\n<ul class=\"wp-block-list\">\n<li>Inflammatory Bowel Disease (IBD)<\/li>\n\n\n\n<li>Nutrition\/Complex Nutrition<\/li>\n\n\n\n<li>Hepatology<\/li>\n\n\n\n<li>Coeliac disease<\/li>\n\n\n\n<li>Eosinophilic Oesophagitis<\/li>\n\n\n\n<li>IBD and Hepatology paediatric-to-adult transition (RIE, WGH and Fife)<\/li>\n\n\n\n<li>Quaternary Hepatology outreach (with Birmingham Hepatology Team)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Outreach clinics in NHS Fife and NHS Borders<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Contact Details<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>PLEASE NOTE THE EMAILS AND PHONE NUMBERS ARE FOR USE BY HEALTH CARE PROFESSIONALS OR EXISTING PATIENTS WHO WE ARE EXPECTING TO CONTACT US DIRECTLY AND NOT TO BE USED FOR SELF REFERRAL<\/strong><strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Daytime Phone<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Weekdays, daytime (09:00 \u2013 16:30) urgent advice is via the RHCYP Switchboard (0131 536 1000), bleep 9434 for the GI registrar<\/li>\n\n\n\n<li>Weekdays, daytime (08:30 \u2013 15:30) a message can be left via our secretary on 0131 312 0430 \/ 0131 312 0431<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Out of hours Phone<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>On evenings and weekends the General Paediatric Acute Receiving Unit&nbsp; (PARU) team are available to discuss acute referrals and manage the GI inpatients along with the GI consultant of the week.<\/li>\n\n\n\n<li>Out of hours the main contact is via the RHCYP Switchboard (0131 536 1000) via bleep 9424 for the resident&nbsp;Senior Registrar\/ ST on call.<\/li>\n\n\n\n<li>There is an on-call PGHAN service that runs 24\/7.&nbsp;The on-call consultant can be reached on 07890 388650<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Other Methods of Contact<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>GPs can seek advice via a SCI Gateway Referral<\/li>\n\n\n\n<li>Our administration email is <a href=\"mailto:loth.paediatricgiadmin@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">loth.paediatricgiadmin@nhs.scot<\/a> . This can be used for enquiries from healthcare professionals<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Regional work and contacts<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition to services at RHCYP we provide tertiary PGHAN support for hospitals in Lothian, Fife and the Borders.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br><strong>New referrals should always be discussed and sent to the local DGH to be seen unless specific advice is required from our team.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Colleagues with a special interest&nbsp;in GI&nbsp;at these hospitals are:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dr Anna Dall, Consultant Paediatrician, Borders General Hospital, Melrose<\/li>\n\n\n\n<li>Dr Andy Mitra, Consultant Paediatrician, Victoria Hospital, Kirkcaldy<\/li>\n\n\n\n<li>Dr John Morrice, Consultant Paediatrician, Victoria Hospital, Kirkcaldy<\/li>\n\n\n\n<li>Dr Aniela Tybulewicz, Consultant Paediatrician, St John&#8217;s Hospital Livingston<\/li>\n\n\n\n<li>Dr&nbsp;Lois Biggerstaff,&nbsp;Consultant Paediatrician, RHCYP<\/li>\n\n\n\n<li>Dr&nbsp;Philippa Wood,&nbsp;Consultant Paediatrician, RHCYP<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Other Scottish networks provide support for other regions:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>New referrals should always be sent to the local DGH to be seen unless specific advice is required from our team. Any out of area referrals should come from the secondary care tea<\/li>\n\n\n\n<li>NoSPGHAN for North Scotland (Tayside, Grampian, Highland, Orkney and Shetland Isles)<\/li>\n\n\n\n<li>WoSPGHAN for West Scotland (Greater Glasgow and Clyde, Ayrshire and Arran, Dumfries and Galloway, Forth Valley, Lanarkshire, Western Isles)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>R.R, L.D and J.B &#8211; 23-7-26<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">How to refer<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Edinburgh, East and Midlothian<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Referrals should be sent via SCI Gateway<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Royal Hospital for Children and Young People &gt;&gt; Gastroenterology &gt;&gt; LI Basic Sign Referral<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>West Lothian<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Referrals should be sent via SCI Gateway<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>St John\u2019s Hospital &gt;&gt; Paediatrics &gt;&gt; LI Basic Sign Referral<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Regional Referrals<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">New referrals should always be discussed and sent to the local DGH to be seen unless specific advice is required from our team (see above for specific contacts).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Triage of Referrals<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On receiving a referral, we will triage to urgent or routine but may decide they are suitable for advice only (this may help expedite management) in which case we will triage to \u2018advice only\u2019. There are some cases where we will triage to other services who are felt to be more appropriate for ongoing advice or management (this may include specialist colleagues in general paediatrics, paediatric surgery, other medical or surgical specialist services, and paediatric dietetics) in which case we will inform you and the family.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\">Guidelines are available for many conditions and are listed below.&nbsp; These guidelines give advice regarding initiating first line investigations and treatment, if required, and may avoid the need for referral and certainly will expedite management.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Gastro-oesophageal reflux (GOR) and disease (GORD<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>See guidance under <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/medical-paediatrics\/feeding-difficulties-in-infants-under-6-months\/\" target=\"_blank\" rel=\"noreferrer noopener\">Feeding Difficulties in Infants Under 6 Months \u2013 RefHelp<\/a> and the PIL <a href=\"https:\/\/policyonline.nhslothian.scot\/wp-content\/uploads\/2023\/03\/Feeding_difficulties_in_babies.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Feeding difficulties in babies<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Constipation<\/strong>&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>See guidance under <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/medical-paediatrics\/constipation\/\" target=\"_blank\" rel=\"noreferrer noopener\">Constipation \u2013 RefHelp<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Conjugated Jaundice and Biliary Atresia<\/strong>&nbsp;<strong>in infancy<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"\/files\/sites\/2\/Paediatric-G.I-Conjugated-Jaundice-and-Biliary-Atresia-in-infancy.pdf\" data-type=\"link\" data-id=\"\/files\/sites\/2\/Paediatric-G.I-Conjugated-Jaundice-and-Biliary-Atresia-in-infancy.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Conjugated Jaundice &amp; Biliary Atresia in infancy.pdf<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Lactose Intolerance<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>See guidance under <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/medical-paediatrics\/feeding-difficulties-in-infants-under-6-months\/\" target=\"_blank\" rel=\"noreferrer noopener\">Feeding Difficulties in Infants Under 6 Months \u2013 RefHelp<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Chronic diarrhoea, Acute and Chronic Bloody diarrhoea and potential IBD<\/strong>&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>See guidance under <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/chronic-diarrhoea\/\" target=\"_blank\" rel=\"noreferrer noopener\">Chronic Diarrhoea \u2013 RefHelp<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Coeliac Disease<\/strong>&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>See guidance under <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatricgastrointestinal\/coeliacpaediatric\/\" target=\"_blank\" rel=\"noreferrer noopener\">Coeliac (Paediatric) \u2013 RefHelp<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Oral Ulceration<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>See guidance under <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatricdentistry\/paediatric-oral-medicine\/oral-ulceration-paediatric\/\" target=\"_blank\" rel=\"noreferrer noopener\">Oral Ulceration \u2013 RefHelp<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Helicobacter Pylori<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>See Formulary guidance <a href=\"https:\/\/formulary.nhs.scot\/east\/gastro-intestinal-system\/gastro-oesophageal-disorders\/dyspepsia\/?m=c-h-pylori-associated-dyspepsia\" target=\"_blank\" rel=\"noreferrer noopener\">East Region Formulary H Pylori associated dyspepsia<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>IBS &#8211; Recurrent Abdominal pain<\/strong>&nbsp; &nbsp;&nbsp; <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>See guidance under <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatricgastrointestinal\/irritablebowelsyndromeibsfunctionalabdominalpainfap\/\" target=\"_blank\" rel=\"noreferrer noopener\">Irritable Bowel Syndrome (IBS) and Functional Abdominal Pain (FAP) \u2013 RefHelp<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Current RHCYP Endoscopy information and leaflets:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Picolax &#8211;&nbsp;<a href=\"https:\/\/vimeo.com\/436823493\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/vimeo.com\/436823493<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/policyonline.nhslothian.scot\/wp-content\/uploads\/2023\/03\/Your_colonoscopy-morning_admission.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Your colonoscopy \u2013 AM RHCYP<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/policyonline.nhslothian.scot\/wp-content\/uploads\/2023\/03\/Your_colonoscopy_at_the_Royal_Hospital_for_Children_and_Young_People.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Your colonoscopy &#8211; PM RHCYP<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/policyonline.nhslothian.scot\/wp-content\/uploads\/2023\/03\/Your_upper_endoscopy_test-morning_admission.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Your upper endoscopy test \u2013 AM RHCYP<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/policyonline.nhslothian.scot\/wp-content\/uploads\/2023\/03\/Your_upper_endoscopy_test_at_the_Royal_Hospital_for_Children_and_Young_People.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Your upper endoscopy test \u2013 PM RHCYP<\/a><\/li>\n\n\n\n<li>Citramag\u00a0&#8211;\u00a0<a href=\"https:\/\/vimeo.com\/436822438\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/vimeo.com\/436822438<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Children&#8217;s organisations:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">British Society for Paediatric Gastroenterology Hepatology and Nutrition (BSPGHAN) &nbsp;<a href=\"http:\/\/www.bspghan.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.bspghan.org.uk<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">North American Society for Gastroenterology Hepatology and Nutrition&nbsp;(NASPGHAN) &nbsp;<a href=\"http:\/\/www.naspghan.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.naspghan.org<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">European Society for Paediatric Hepatology and Nutrition&nbsp;(ESPGHAN) &nbsp;<a href=\"http:\/\/www.espghan.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.espghan.org\/<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Other helpful sites:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Children&#8217;s Digestive Health and Nutrition Foundation&nbsp;&nbsp;<a href=\"http:\/\/www.cdhnf.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.cdhnf.org<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Children&#8217;s Liver Disease Foundation&nbsp;&nbsp;<a href=\"http:\/\/www.childliverdisease.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.childliverdisease.org<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Crohn&#8217;s and Colitis UK CUK&nbsp;<a href=\"https:\/\/www.crohnsandcolitis.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.crohnsandcolitis.org.uk\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CICRA&nbsp;for children with Crohn\u2019s and colitis&nbsp;<a href=\"https:\/\/www.cicra.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.cicra.org\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Coeliac UK&nbsp;(CUK)&nbsp;&nbsp;<a href=\"http:\/\/www.coeliac.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.coeliac.org.uk<\/a>&nbsp;&nbsp; &nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ERIC (Children&#8217;s Bowel and Bladder Charity) &nbsp;<a href=\"http:\/\/www.eric.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.eric.org.uk<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">GUTS UK&nbsp;<a href=\"https:\/\/gutscharity.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;https:\/\/gutscharity.org.uk\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Paediatrics-G.I-Tough-Going.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Paediatrics-G.I-Tough-Going.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Tough Going<\/a>&nbsp;(pdf) NHS Lothian paediatric constipation guideline<\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The RHCYP Paediatric Gastroenterology, Hepatology and Nutrition (PGHAN) service provides specialist services for Lothian, Fife and the Borders as part of the South-East Scotland Regional PGHAN Network&nbsp;(SESPGHAN). Further patient-accessible information is available on the RHCYP Children&rsquo;s Hospital website. There is a GI department page with information. Patients who are already known to the paediatric GI<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":18302,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[519],"class_list":["post-3956","page","type-page","status-publish","hentry","category-paediatric-gastrointestinal"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/paediatric\/paediatric-gastrointestinal\/\" rel=\"tag\">Paediatric Gastrointestinal<\/a>","rttpg_excerpt":"The RHCYP Paediatric Gastroenterology, Hepatology and Nutrition (PGHAN) service provides specialist services for Lothian, Fife and the Borders as part of the South-East Scotland Regional PGHAN Network&nbsp;(SESPGHAN). Further patient-accessible information is available on the RHCYP Children&rsquo;s Hospital website. There is a GI department page with information. Patients who are already known to the paediatric GI","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3956","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3956"}],"version-history":[{"count":28,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3956\/revisions"}],"predecessor-version":[{"id":29111,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3956\/revisions\/29111"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/18302"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3956"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3956"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}